LIBRARY OF CONGRESS. 

§\ ' # fo 

She: ,n42-. 



UNITED STATES OF AMERICA. 






Entered according to Act of Congress, in the year 1879, by J. J, Hayes, M.D., 
in the Office of the Librarian of Congress, at Washington. All rights reserved. 




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A Treatise on its cause, nature, prevention and cure; 
a synopsis of the pamphlet published and copy- 
righted in 1858 on the same subject and by the 
same author: and embraced in an appeal to 
four of the most learned Physicians of 
the City of New Orleans, for pe- 
rusal and consideration ; 
and for their decision on its merits; on its truth. 



THE FEVER, AS AN EPIDEMIC CHECKED IN A FEW DAYS: AS A COM- 
PLAINT CURED IN A FEW HOURS. 



■BY- 



J. J. HAYES, M.D 



NEW ORLEANS: 
T. H Thomason, Printer, 26 and 28 Bank Place. 

1879. 




m- 



A Treatise on its cause, nature, prevention and cure; 
a synopsis of the pamphlet published and copy- 
righted in 1858 on the same subject and by the 
same author: and embraced in an appeal to 
four of the most learned Physicians of 
the City of New Orleans, for pe- 
rusal and consideration ; 
and for their decision on its merits; on its truth. 



THE FEVER, AS AN EPIDEMIC CHECKED IN A FEW DAYS: AS A COM- 
PLAINT CORED IN A FEW HODRS. 



—BY— 



j. j/hayes, m.d. 



It 



A 



NEW ORLEANS: 
T. H. Thomason, Printer, 26 and 28 Bauk Tlaee. 

1879. 



CAUSES OF YELLOW FEVER. 

1st Cause. — Caloric is the remote, specific, determining, primitive cause of 
yellow fever. 

2d Cause. — Reduced density and increased elasticity of the atmospheric air, the 
effect of caloric, is the second or intermediate cause of yellow fever. 
. 3d Cause. — The effete material remaining in the system, mixing with the chyle 
and fermenting, the effect of the second cause, is the proximate, internal, inti- 
mate cause of yellow fever. 

NATURE OF YELLOW FEVER. 
Heat of fermentation, yellowness, want of locomotive power, rejection of % 
dark fluid of a charcoal and metallic hue, constitute the nature of yellow fever, 

PREVENTION OF YELLOW FEVER. 
Making the atmospheric air preponderate, in the lungs, over the effete material 
and the chyle. 

CURE OF THE YELLOW FEVER. 
Making the atmospheric air preponderate, in the lungs, over the effete material 
and the chyle. 



YELLOW FEVER. 



Drs. LAB A TUT, KENNEDY and LEWIS: 

Gentlemen — In behalf of suffering humanity, in behalf of the Medical 
S jiences, virtue and truth, you are appealed to to take iuto due consideration that 
scourge, yellow fever, which every now and again Jkgr^ate'l th^ t^Lof New 
Orleans and State of Louisiana. <£x^<? < ?>--o<^cX-^ 

Being a question of the Medical Sciences, namely: anatomy, organic and inor- 
ganic chemistry, physiology and pathology, to you exclusively belong its study 
and consideration, and not to the outside secular worlds all of whom are utter 
strangers to the Sciences named and who, notwithstanding, taking advantage of 
the apathy ol medical men, are ever swaying to and fro, floundering in all kinds 
of ridiculous and mechanical notions and expressions uttered in the public press, 
in a vain effort to furnish a solution, which is far beyond their reach and sphere; 
aud who, instead of looking for it in the human body where the disease origi- 
nates, is seated and can be seen and found; who, instead of looking for it in the 
Sciences mentioned, are ever trying to hunt it up in other lands, in distant coun- 
tries where the inhabitants themselves have never found it, can't say whence it 
comes — whither it goes; who are looking for it in ships, gutters, sewers, streets, 
offal matter and swamps, as if these were not the same the world over; looking 
for it in all kinds of vague mechanical expressions, viz: germs, wee animals — 
spores ; looking in every place except the right one ; in every notion except in 
those derived from the Medical Sciences, which alone unmask it, disclose, reveal 
it, reducing it to a thing of nothing — scattering it to the winds. 

Gentlemen, you are appealed to in the heart-rending accents of wives, bereft 
of husbands, of the tears and wailings of innocent children, bereft of parents, 
abandoned to desolation and consigned to a cruel, stormy, ruthless world with- 
out protection or provision, you are thus appealed to to wrest this question from 
the vague, crude, uncouth expressions and futile researches of the secular world, 
and transfer it to the Scientific, luminous one to which you belong and which 
can and wiAl disclose the nature and prevention of this phantom complaint; and 
arrest for all time its horrors and ghastly exactions. 

Gentlemen, a few phrases would be sufficient to state to you the. nature, cause 
and seat of the complaint; but, as the public are alive to the solution of the 
question, I will state it to suit both, as I am equally anxious that they should 
understand it. 

A complaint is defined in Pathology to be, a lesion of tissue, of the tissues of 
an organ, causing a disturbance in its function; a lesion or alteration in any of 
the fluids of the body ; a change of relation, a disturbance of relations between 
the fluids and solids aud gases, which jointly execute the same purpose or func- 
tion; or a morbid, abnormal condition of said fluids. Pathology teaches three 
kinds of causes, viz: proximate, remote, occasional and predisposing causes. 
The lesion, disturbance of relations or abnormal conditions constitute 
the proximate, intimate or immediate cause. The agent causing the latter is 
the remote, the -specific, determining cause. Then, what is the proximate cause 
of yellow fever? The effete material of the human body remaining in the body, 
not eliminated from the body, is the proximate cause; the intimate, immediate 
cause of yellow fever; the cause of the conditions which ensue — which conditions 
constitute yellow fever — yellow fever in its essence. What is its remote cause? 
The want of an adequate amount of air in the lungs, causing a disturbance of 
proportion between the effete material of the body and the air in the lungs, may 
also be considered an element of the proximate or immediate cause. What, 
then, is the remote, specific or determining cause ? Caloric is; a want of an ad- 
equate supply of air in the lungs, caused by caloric or high atmospheric temper- 
ature, is; a rarefaction, expansion of the atmosphere, caused by caloric, is; an 
increased elasticity of the constituents of the air, impeding the chemical union 



of the effete material with the oxygen of the air, caused by caloric, is. Hence, 
caloric, or high atmospheric temperature, is the remote, determining, specific 
cause of yellow fever, by causing a disturbance of proportion between the effete 
material of the body and the quantity of air in the lungs; by causing an expan- 
sion, a rarefaction of the atmosphere, and thereby reducing its normal quantity 
and creating a disturbance of proportion between the effete material and the sup- 
ply of air in the lungs; by impeding the chemical union in the lungs which 
eliminates the effete material by increasing the elasticity of the air; augmenting 
the repellent tendency of its molecules. 

Therefore, the effete jnaterial of the system remaining in the system; the de- 
fective supply ofvatmdspheric air in the lungs; the disturbance of relative pro- 
portions between the effete material and the atmospheric air in the lungs, consti* 
tute the proximate cause of yellow fever. 

Caloric or heat, rarefying, expanding the atmospheric air, thereby reducing 
the normal quantity introduced into the lungs and required by the system; and 
thereby increasing the inherent repellent property of the molecules of gases, 
namely: their elasticity — thereby rendering the chemical union of respiration 
still more difficult; in addition, the chemical fact that at an abnormal high at- 
mospheric temperature, no union of gases is possible, I repeat caloric, by such 
expansion and diminution of air in consequence; by such increase of elasticity, 
and by such increase still rendering all chemical union of gases impossible, con- 
stitute the remote cause. The remote cause is also called the determining spe- 
cific cause. The effete material of the body not eliminated constitutes the prox- 
imate cause. Caloric, or high atmospheric temperature, diminishing the air for 
elimination, constitutes the remote specific cause. 

Please see the Articles on Circulation and Besphation, in any work on Physi- 
ology; also see Liebig's Organic Chemistry on the same functions. 

Which is the effete material of the system ? It is that portion of the human 
body which has been used to produce some action of the body, or of the mind. 
For every act, exertion of the body, for every exertion of the mind, namely: 
every feeling, thought or sentiment, a portion of the human body ceases to live; 
in the same manner, for every ray of light obtained a corresponding portion of 
oil or gas has to be consumed. The portion thus used is dead, and never sub- 
serves in the fame body the same purpose again. The portion thus used, dead 
or consumed, is the effete material, and has to be removed or eliminated as soon 
as dead. This removal is incessant, and is effected by atmospheric air in the 
lungs and by the skin. For that purpose forty cubic inches of air, weighing 
about 12 grains, are introduced twenty times per minute — 400 cubic inches, 
240 grains, must be introduced per minule: and 400 cubic inches, weighing 
somewhat more, are eliminated. The air introduced is pure; the air expired or 
rejecied is impure air, to which thy effete material is reduced by a process of 
combustion in the lungs. The pure air meeting the effete matter in the lungs 
consumes it and reduces it, by a chemical combustion, to carbonic acid and 
water. The effete material before reacbiug the lungs has become bile, carbonic 
acid and water. Those with urea constitute the dead body, or the portion of the 
body used for the bodily or mental uses already mentioned. Unless removed as 
soon as dead, the person dies; dies within five minutes— expiration removes it; 
inspiration introduces the air which consumes it and a fresh supply for the sys- 
tem. Inspiration furnishes the agent for its removal and a fresh suppy for vital 
purposes, as stated. Inspired air is oxygen and nitrogen; expired air is carbonic 
acid and water. They both constitute respiration, which is executed twenty 
times per minute. Suspended for three or four minutes, the individual is dead. 
Its object is to remove the dead material and to furnish oxygen to the system. 
It is the oxygen of the air that removes the dead master; it is the oxygen of the 
air that produces all bodily and mental purposes. The air inhaled must intro- 
duce the oxygen necessary for elimination and for the execution of the bodily 
and mental purposes, viz: locomotion and sensibility. The nitrogen of the air 
subserves no purpose. It only tempers, dilutes the oxygen which otherwise 
is too active. Nutrition is effected by the food we use; it is to restore, to repair 
the loss sustained by use; to take the place of the dead material eliminated. The 
food we take is intended to repair the loss and to maintain life. It consists of 
veg' tables and meat; the vegetables are composed of oxygen, hydrogen, and 



Carbon ; the meat is composed of oxygen, hydrogen, carbon and nitrogen. The 
whole vegetable world, trees, shrubbery, fruit trees, flower tre^s, cereals, etc., 
are oae and all composed of oxygen, hydrogen and carbon. The whole animal 
kingdom, from the elephant to the mosquito, is composed of oxygeD, hydrogen, 
carbon and nitrogen. Nitrogen added to the constituents of the vegetable king- 
dom const tutes the animal kingdom. Therefore, the food we take consists of 
oxygen, hydrogen, carbon and nitrogen. The three first combined make the 
vegetables we eat; the fourth united with these makes the flesh we eat. In their 
primitive state they exist as gases. Oxygen combined with hydrogen makes 
water; oxygen, hydrogen and carbon make the vegetable world; the same with 
nitrogen make the animal kingdom. The vegetable food introduced is the same. 
With nitrogen the food enters the human system as cooked vegetables and meat. 
In the body it is macerated, liquified, and becomes chyle. It is tben conveyed 
to the right side of the heart in chyliferous canals, and mixing there with the 
venous blood, the heart projects it with the blood into the lungs, where it under- 
goes the combustion by which the bile is eliminated. It is then conveyed to the left 
heart and arteries, where the meat material becomes fibrin, albumen and protean 
and the vegetable food becomes oleagenous, fatty or saccharine matter. When 
used for purposes of human or animal life, it is again restored, returned to its 
primitive condition, viz: oxygen, hydrogen and carbon for the vegetable part 
and oxygen, hydrogen, carborf and nitrogen for the animal part; When thus 
restored or returned, they become the effete material and assume the following 
shapes or conditions: the effete oxygen and hydrogen combine forming water; 
the effete oxygen, hydrogen and carbon combine forming bile; the effete hydro- 
gen and nitrogen combine forming urea. The effete material, consisting of the 
same constituents as the food, assume in the body, before or after elimination, 
the forms of water, bile, carbonic acid and urea. The water, bile and carbonic 
acid are eliminated by the lungs and skin; the urea is eliminated by the kidneys. 
These elementary component parts enter the system in the form of albumen, 
fibrin, protean, and carbonaceous matter. When dead and reduced again to the 
inorganic state, they assume the shape of water, carbonic acid, bile and urea, 
When again rejected and restored to the dead world, they return to their natural, 
original elements and again become oxygen, hydrogen, carbon and nitrogen. 
They don't rest long in a dead condition, for on sight they are absorbed by veg- 
etables and become vegetables, and these devoured by animals again become 
animals, and so continue 'their perpetual revolutions. Such is the effete 
material. 

In their primitive state they are gases: oxgen, hydrogen, carbon and nitrogen. 
The first and second unite and form water — the water of the world; the first, 
second and third unite and form the vegetable kingdom; now, again, uniting 
with the fourth they form the animal kingdom. 

The effete matter is formed in every part, every organ of the body; it is formed 
when that part or organ officiates, as the organs act eternally. Every part acts 
occasionally, but frequently it is being produced, always, ever, eternally. The 
human system, the animal system, is ever officiating, therefore ever, eternally 
generating effete matter. In other words, the human body is always, ever, eter- 
nally dying. The living matter ever passing to dead matter by combustion. 
This combustion is effected by the oxygen of the air combining with the human 
tissue. The union is a chemical union, generating heat, carbonic acid and 
water; all combustions happen in the same manner, the result is always tho 
same, viz: heat, light, carbonic acid and water. In organic combustions there is 
no light — that is the only difference. As the organs of the body and parts of the 
body officiate by a combustion, the body is kept always, ever, perpetually warm, 
heab-d; the degree of heat being 98 ° F. The functions of the body, in addition 
to the combustion of bile in the lungs, maintain always, ever, the temperature of 
the normal system, viz: 98° F. As the body is eternally dying by combustion, 
I see no reason why, when dead, it should not be restored to its primitive ele- 
ments by a combustion. 

The living part has scarcely become effete, or dead, when it passes into little 
canals destined for that use, namely: the veins — they convey it to the right 
heart; the chyliferous canals convey the liquified food, now called chyle mixed 
with the bile, also to the right heart, which now contracts and projects all three 



into the lungs, where they are parted; the bile is burnt and reduced to carbonic 
acid and water and expelled from the body by expiration. Expiration at thesame 
time expels the carbonic acid and water of decay, which take place in all parts 
of the body when the functions are being executed, and which flow in the veins 
at the same time to the lungs. Therefore, as already stated, the dead material 
is expelled by expiration, while inspiration imports atmospheric air to effect this 
purpose ; also a fresh supply to execute the functions in the organs and different 
parts of the body. When the atmospheric air fails to import enough of oxygen 
to effect this double purpose, viz: to eliminate the dead material and to animate 
the remainder, death must ensue. 

At the time the effete material is being eliminated in the form of bile, water of 
decay and carbonic acid, the surplus oxygen unites with the hon of the glo- 
bules, now become protoxide and convert it into deutoxide. 

The iron globules convey to the lungs the carbonic acid of decay from all parts 
of the body where functions of mind or body have been executed; in the lungs 
they part with it. For such execution they parted with the surplus oxygen 
as deutoxade and theii reduced to protoxide they, on sight, combine with the 
said carbonic acid. 

Having reached the lungs and again meeting oxygen, they abandon the car- 
bonic acid by reason of a superior affinity, and unite with oxygen, tgain be- 
coming deutoxide. In the veins it is a carbonate of iron; in the arteries it is a 
deutoxide of iron. Bile being burnt in the lungs and reduced to carbonic acid 
and water, therefore the whole decayed material escaping by expiration , consists 
of carbonic acid and water. 

Kespiration consists of eliminating the dead material and introducing oxygen. 
It is executed in the lungs. While transpiring the liquid food, chyle passes 
through the lungs at the same time. When executed as stated, the chyle, with'the 
globules, enter the left heart and arteries; the chyle enters to compose to repair 
where loss has taken place in the organs or parts of the body, either by lo- 
comotion or sensibility. No act of the body, no act of the mind could take place 
without loss. Tne globules importing oxygen accompany the chyle and floods 
the system for all future actions, for none can take place without it; absent, 
there can be no act of either body or mind; there can be no locomotion, no sen- 
sibility. Oxygen is the agent of both; without it the most robust man could 
neither walk, talk or think. Without oxygen, he should be still or passive as if 
dead ; in the absence of oxygen, should he try to walk or talk- death is the con- 
sequence. 

The human body consists of two systems only — a muscular and a nervous sys- 
tem. The muscular system is that of locomotion; the nervous system is that of 
sensibility — all the phases of feeling and mind are included in the latter, and 
all that can be executed is included in the former. When the system has no oxy- 
gen death takes place in from three to five minutes; while there is only enough 
to animate the involutary muscles the man may live some time by remaining ut- 
terly passive. Still, when there is only enough for that purpose, and that the 
man makes a slight effort at locomotion, he dies. The chyle repairs the body 
and gives nutrition and growth; oxygen gives locomotion and sensibility; loco- 
motion and sensibility are produced by the use of the body— the decay of the 
body. Locomotion and sensibility are the chasm between the vegetable and ani- 
mal kingdoms. Trees live and grow; animals live, grow and execute locomo- 
tion and sensibility; that is, they move and feel. Trees live tor ages; they 
don't expend themselves by locomotion and sensibility. The effete matter is the 
material expended in order to move and feel; locomotion and sensibility are the 
expenditure of the nutrition and growth furnished by the chyle. Trees receive 
nutriment and growth; animals receive nutriment and growth, and so far, it is 
vegetable life. But animals move and feel; that is, execute locomotion and sen- 
sibility, which constitute animal life. How do they do it? By using the material 
ot nutrition and growth when they move or feel the material is used; it is used 
by consigning it to decay or effete matter. So animal life is vegetable life in a 
state of decay. An animal in motion is a vegetable in a state of decay, or de- 
composition returning to his primitive eliments. 

Without oxygen the animal cannot move or feel. There can be no animal life, 
no locomotion, no sensibility. The globules being the carriers, the importers of 



oxygen, their importance cannot be overestimated. This is quite important to 
remember, as it explains one of the most mysterious, formidable and fatal of the 
symptoms of yellow fever, namely death on locomotion or making a slight effort 
to walk or in talking. All the otner symptoms are visible; this alone reveals it- 
self by the consequence, and the consequence is death. 

Locomotion and sensibility may be deemed the essence of the human body; the 
muscular system furnishes the first; the nervous system the other. The loco- 
motive faculty transfers us from one place to another, transports us to and from 
places, while sensibility embraces the power of the mind and enables us to see, 
examine and judge all external things. They constitute the functions of relation 
between us and the universe. They furnish the glow of light which enables us 
to appreciate the universe and examine the earth, to extend our view to the 
myriad planetary systems, surpassing our own in number and magnitude and 
equally dependant on a central sun ; enables to see and contemplate con- 
gregations or clusters of the same, so remote that light, which travels at the rate 
of 30 million miles a minute, would take two million years to reach the earth; 
and even there we discover that the universe only begins as here. Astronomy 
teaches us so. 

It would seem incredible that such power should emanate from apparently 
such trivial things; as the returning of our primitive constituents to their 
original state, yet our surprise will cease when we remember that two of them, 
oxygen and hydrogen, have made the oceans and seas and waters of the world, 
when two others, oxygen and nitrogen, have made the vast atmospheric ocean in 
which we live; when three of them, oxygen, hydrogen and carbon have made the 
whole vegetable kingdom, and when the four, oxygen, hydrogen, carbon and ni- 
trogen have made the whole animal kingdom. 

The above constituents, having subserved the purposes of hum an life by the 
production of locomotion and sensibility at which we have just taken a bird's-eye 
look, assume the shapes already mentioned, viz: Carbonic acid gas, water, bile 
and urea. Having assumed those shapes they have become the effete material, but 
don't tarry long in that condition. Unless eliminated immediately they poison 
■the body upon which they have just conferred such marvellous power; as a light 
or a fire is extinguished by being confined in the smoke which escapes from it. 
Having assumed these shapes it flows in the veins to the lungs and there meeting 
oxygen in abundance and at a normal temperature, the bile is first burnt and re- 
duced to carbonic acid and water; the extra heat caused by the combustion 
converts the said water and that of decay from the whole system into vapor; next 
the surplus oxygen decomposes the carbonate of iron of the globules, impregna- 
ting the iron with an extra quantity of oxygen, making it a deutoxideby liberating 
ing the carbonic acid. Now, at this time the whole effete material 
brought to the lungs is become carbonic acid and vapor of water and expelled by 
expiration, while the globules return to the system laden with oxygen. The 
whole takes place within three minutes, inspiration occupying a little more time 
than respiration. The urea is eliminated by the kidneys. So the whole effete 
matter is eliminated in the foim of carbonic acid, water and urea. 

The effete matter rejected and the material of nutrition and the globules laden 
with oxygen imported, the work of respiration is over. The material of nutri- 
tion gives vegetable life, viz: nutrition and growth; the oxygen gives animal 
life, viz: locomotion and sensibility. This function must be repeated twenty 
times per minute. Without nutrition a man may live a few days; without oxygen, 
he would not live five minutes. Put a man in water or in a closed room with burn- 
ing charcoal, the length ef time he survives is the term he lives without oxygen. 
They both inflict death in the same manner. He can't survive two respirations 
six minutes. 

What else can be fatal to him by depriving him of oxygen ? Caloric: Caloric 
by producing an excessive rarefaction and elasticity of the atmospheric air 
defeats inspiration in four different ways: By sunstroke, congestion of the brain, 
— in these cases the respiratory muscles become paralyzed and a muscular as- 
phyxia is the result, impeding respiration and depriving him of oxygen. Again 
by the plague and yellow fever. 

When inspiration is defeated by an excessive rarefaction and elacity, caused 
and produced by high temperature, that is, by caloric, the effete matter — bile — 



8 

passes through the lungs, mixes with the chyle and carbonate of iron, imparting 
neither the material of vegetable life — nutrition and growth — or that of animal 
life — locomotion and sensibility. The whole turbid fluid of the effete matter 
mixes with chyle, and having entered the arterial system, death is instantaneous; 
just as in drowning or in a room where burning charcoal has exhaused the oxy- 
gen imported to keep the heart and involuntarv muscles in motion. This seldom 
happens in an open atmosphere. But look in St. Louis recently: children and 
adults have died this year from that cause. From that condition, in 1864, the 
same happened in this city. The people said the heat killed them; but they did 
not say how the heat killed them. It did not burn them; it did not ignite 
them. It killed them by excluding oxygen. When the attenuations and in- 
creased atmospheric elasticity so reduces respiration as only to admit enough of 
oxygen to keep the heart in motion, a rapid fermentation and putrifaction en- 
sues; the individual lives, while the heart beats loDg enough to see himself a 
mass of petrification ; he dies on the eve of the first day or dawn of the next. So 
little effete matter is eliminated and so little oxygen imported, that the 
heart alone receives a supply; a rapid fermentation and putrefaction ensues, 
which is fatal as stated. This condition is very prevalent in tropical climates 
and is designated the plague. Whole armies when having invaded tropical cli- 
mates have perished by it; they have been said to have died like rotten sheep. 

When respiration has been so defeated by reason of the rarefaction and elas'icity 
of the atmospheric air caused by caloric, that so little effete matter has been 
eliminated, and that only enough of oxygen is inspired to give motion to the heart 
and involuntary muscles; and none for the external and voluntary; a gentle fer- 
mentation ensues, accompanied with a gentle heat and moist skin. This is yellow 
fever, and has always been called so; the heat having alwavs been mistaken for a 
fever. The plague and yellow fever are produced by one and the same cause; 
the last is a minor degree of the other; an all but complete defective respiration 
produces the first; a very defective one produces the hist; the plague, excluding 
all chance of recovery; the yellow fever affording four days and four hours by re- 
maining without motion. When respiration is so reduced that only enough of 
oxygen is received to animate the heart and involuntary muscles, that constitutes 
yellow fever, and immediately the person is apprised of it. He may have a cold, 
creeping feeling, and, at the same time, a very gentle heat; he does not heed 
that; he deems it nothing, but should he etand up to walk, he feels weak and 
staggers; and wants to lie down. Committed to rest again, he feels well; he 
thinks he can walk; he tries it, but staggers and faints. This is the first formid- 
able symptom of sickness, of danger, he has experienced. Should he transgress 
it, and repeat an effort to walk or talk, he faints and dies. This is an infallible 
proof that the person during respiration received only enough of oxygen up to 
then, to keep the heart and iuvoluntary muscles in motion. That *or locomo- 
ti n there was none; that for sensibility or mental purposes there was none; that 
consequently the necessity to remain still, motionless as a vegetable or a tree, 
was imperative. Instantaneously with this, which was the third condition or 
or consequence of the effete matter not having been eliminated, the whole body 
assumes, exhibits a yellow hue. The lid of either eye elevated, the sclerotie 
tissue was seen to be suffused, excessively suffused with bile, intensely yellow. 
At this early moment of the effete matter predominating over the necessary 
amount of air in the lungs, in the system, the three first immediate consequences 
of only enough of oxygen to keep the heart and involuntary muscles in motion 
were exhibited, viz: heat of fermentation, yellowness of the the body or the bile 
not elimonated and want of locomotion, or inability to transfer one's self from 
one place to another. 

At this moment, the want of locomotion or muscular power is the exact meas- 
ure of the amount of oxygen he has received from respiration, viz: just enough 
to keep the heart and inner muscles in motion; it is also the exact measure of 
the deficiency he sustained. How much then is the deficiency? Liebig says it 
is the quantity which an ordinary or normal atmosphere affords in four chiys and 
four hours. Then put him in such an atmosphere, and he is cured or well. Gen- 
tlemen, it is not possible that you could have attended the mauy patients you have 
without perceiving that four days and four hours is the duration of the complaint. 
The fifth is a transition day. On that day he takes some nourishment; it is a 



day of extra weakness. Give him the same amount of oxj'gen in one day or two 
days, in one hour or two hours, and he is quite well. On the contrary, 
let him expend in a fruitless effort the amount he had aod he dies instantly. He 
thereby transfers the inner supply to the external muscles, and the heart ceases 
and beats no more. 

Fourth symptom — black vomit: This symptom, like the two past ones, is visi- 
ble; can be detected by the senses; and invokes inquiry. It is more obscure 
than the preceding ones; but the nature of the preceding ones discovered, well 
ascertained, the difficulty of understanding the fourth becomes much reduced; for 
it is what might be expected; it is the sequence of the preceding ones. It is a 
dark fluid rejected from the digestive canal by the mouth. It consists of car- 
bon, charcoal or soot; it is the black material of the venons blood; it is what 
gives the venous blood the black color, it is the carbon of decay of the human 
system. 

The oxygen for the elimination of the effete material being deficient, the latter 
ferments;* the oxygen for the elimination of bile being deficient, the latter de- 
luges the system. The oxygen for locomotion being deficient, the patieot can- 
not make an effort without becoming a lii'ele.-sbody — a corpse. The oxygen still 
deficient, the carbon of decay no longer becomes bile; arriving at the spleen and 
liver by the vena cava; both are gorged, overwhelmed, with bile; they can 
make no more; the venous blood passes through them as it came, and the carbon 
oozes in flakes from the spleen, liver, into the intestinal canal, and is rejected 
by the duodenum, stomach and mouth — not by muscular effort or contraction, 
but by the elasticity of carbonic acid which accompanies it. Hence, the next se- 
quence is the rejection of carbon in the condition in which it is in the veins. This 
takes place about the third day; at this time the system not having received the 
oxygen as above stated, the spleen and liver, gorged with bile, no longer im- 
poses the usual changes on the venous blood; and the chief ingredient escapes 
unchanged. 

Gentlemen, it is unnecessary to observe to you that bile, m its constituents, is 
similar to oil, fat, lard, sugar or gum; all composed of carbon, oxygen aud hydro- 
gen, but chiefly of carbon. 

The carbon, now escaping in its primitive condition, indicates extreme peril up 
to this time, and even still it wss possible to save the patient; but now he stands 
on the brink of eternity — one step further, and he belongs to eternity. The 
effete matter not eliminated, and the fermentation continuing, sulphuretted hy- 
drogen is generated, and decomposes the globules, decomposing the oxide of hon, 
rendering it a sulphuret of iron, and never again can it become protoxide or deu- 
toxide ; never after can it export carbonic acid from the system ; never after can 
it import oxygen to the system. At this moment, the black carbonaceous fluid 
rejected contains iron, the iron globules of the blood, the agents of respiration, 
and exhibits a metallic hue. The patient now belongs to eternity, and his only 
hope is in the kingdom to come. — Please see pamphlet of 1859. 

The above are the symptoms or pathognomic conditions which the patient pre 
sents during life. Before considering the post mortem condition or utterances of 
the corpse, let us take a retrospect view of the close connection between the 
former. 

1st Symptom — Fermentation. — The absence of oxygen in the lungs during 
respiration causes it. The effete matter not eliminated, the chyle mixes with it, 
enters the arterial system, and does and must ferment, and generates a heat and 
not a fever; but always called yellow fever. 

2d Symptom — The Yellow Color. — The absence of oxygen in the lungs causes 
it. Bile, the chief ingredient of decay, not eliminated; its color attests its 
presence, and the want of oxygen in the lungs for its removal; its presence also 
attests that a fermentation must, and has ensued. 

3d Symptom — Want of locomotion or muscular power. — The absence of oxy- 
gen in the lungs causes it. This is the inevitable coincident of the two preceding 
conditions and the utter evidence of the same cause; it is the irrefragable evi- 
dence of the want of oxygen in the lungs during respiration. 

4th Symptom — Black fluid, first carbonaceous and then presenting a me- 
tallic hue, rejected from the mouth. — The absence of oxygen in the lungs 
causes it. The bile not eliminated, and at this time in vast quantities in the 



10 

system, the carbon must escape, as mentioned, and quite soon after the iron 
globules of the blood. 

The medical student who applies for a diploma, and who, on being shown a 
case of yellow fever for the first time, could not trace the above conditions to 
their source, should be rejected. It would be evident that he did not know anat- 
omy, physiology and chemistry. It would be evident that he never studied the 
functions of repiration and circulation. 

Post-mortem symptoms or conditio ds. — We will now proceed to consider and 
understand what the corpse has to say. The symptoms of the patient while living 
were visible; one only — the third— excepted. The post-mortem ones are still 
more visible, more conspicuous. The latter are generally deemed the most im- 
portant, the most reliable. 

1st Symptom or condition. — When dead the corpse exhibits a yellow hue — an 
intensely yellow lemon color; a striking, ghastly, terrific hue, as if reproaching 
mankind and medical science for not knowing or discovering the cause of a death 
so simple aud so evident. The corpse would seem to say, and his color actually 
does say: don't you see that I have been deluged with or drowed in bile? don't 
you know how to take me out cf this flood of bile, or how to take the flood out of 
me ? The eternal, infallible utterance of the corpse revealed the nature of the 
complaint and the way to cure it. Then to comply, how can either be executed ? 
By atmospheric air or oxygen. Put the patient in a current of air, in a stiff 
breeze, in a storm in a gale or hurricaue, and in a few hours, perhaps a few 
minutes, the bile, or effete matter, will be eliminated; the muscular faculty or 
power will be restored; and he will quit his bed, and walk and act and work as 
well as before. Is it not a matter of painful wonder, that go back a hundred 
years to any work on Physiology, and you will see that respiration consists of re- 
moving the effete matter, that is bile, from the system and introducing oxygen; 
yet, the application of it has never been made medically when needed, as in yel- 
low fever, though over a million of human beings have perished, drowned in 
bile, in the language of the victims, and though reprimanded and admonished by 
the dread, infallible utterances of one million corpses. 

2d Post-mortem condition. — The second condition is quite as evident and still 
more marvellous. The corpse is hot; hot, oh, Heavens ! can the human mind 
realize anything so averse to common sense or reason, as a hot dead man ? Life 
extinct, a frozen cold ensues instanter. When the heart ceases to beat, the tem- 
perature of the body falls to zero; yet a yellow fever patient retains his heat for 
days after death; retains it when put in the coffin, and long after. 

In the human body there can be only two kinds of heat: one, the vital or or- 
ganic heat, the other, a chemical or inorganic heat. The first is the heat of life; 
the other is the heat of disease or death ; the latter is that of fermentation. The 
dead body, warm or hot, the corpse reveals the heat to be one of fermentation 
Hence the corpse says, in the most emphatic terms: I am dead; my heat is not 
a living heat, it is one of fermentation, which can only be furnished by animal 
or vegetable matter in a state of transition, such as fermentation, decomposition, 
or putrification. 

The corpse says no more ; it said enough. One word upon the concurrent testi- 
mony of the living and the dead ; of the patient and the corpse. The first expression 
of the complaint of the patient when attacked is a heat — a heat of fermentation. 
The last expression of the corpse confirmed it. The second expression of the com- 
plaint of the patient is yellowness, which attests the presence of bile, and which 
increases every day until deluged with it. The last dead utterance of the corpse 
is: "I am drowned in bile." 

The two intermediate symptoms, viz: want of muscular power and "black 
vomit,"' are the direct, immediate sequence of the concurrent testimony of the 
living and the dead; of the patient and the corpse. Remove the bile and loco- 
motion is restored; remove the bile and black vomit cannot ensue, as already 
fully explained and corroborated by the infallible utterances of Omnipotent 
Nature. The applicant for a medical diploma who could not interpret both post 
mortem conditions should be refused. It would be very evident that he did not 
know physieology, organic and inorganic chemistry. The physician in Europe 
who could not tell the remote and proximate cause of the complaint, on being 
told the living and post mortem condition, is not entitled to be considered a 



11 

physician. The physician in Europe who, on being told the remote cause, and 
could not tell the proximate cause and the living and post mortem conditions of 
the complaint, should not be considered a physician. 

TREATMENT OF THIS COMPLAINT. 

Has any practical illustration of the expose* just made been ever given ? I 
have given six hundred such illustrations or proofs. This question brings us to 
the treatment of the complaint. In exposing the pathology of the complaint, 
we saw that the yellow fever patient takes to his bed only when he experiences 
an inability to stand up, to walk, to think or talk; and when attacked he feels 
warm, rather a pleasant warmth. He does not heed it; he can't believe that an* 
agreeable heat can injure him, can overcome him. He walks a few paces, he 
staggers, feels faint, and is compelled to rest. While motionless, he feels well; 
he repeats his attempt to walk; he becomes faint, he staggers and faints. 
Should he repeat, he staggers falls and dies. While at rest he can live; should 
he commit himself to motion, make an eftort, he dies. 

"Now, elevate the lid of either eye, and the white tissue of the eye is gorged 
with bile; the whole system is equally so. The three conditions are simultane- 
ous, viz: the heat, the yellowness, and inability of motion. The bile or effete 
matter causes the other two. The inability of motion is the exact measure of 
the quantity of oxygen ihe atmosphere then prevailing gives him; it is also 
the exact measure of the quantity it did not give — of the quantity lacking. Ho 
receives enough to keep the heart and involuntary muscles in motion. He re- 
ceives none for the voluntary muscles. Should he transfer the small amount of 
the former to the latter, in order to make a solitary effort, he exhausts all and 
the heart ceases to beat, and beats no more. Remove the bile and he is cured 
instanter; remove the bile and the heat and inability of motion will vanish. In 
other words, give him the lacking quantity of oxygen, give Tlfta the quantity 
needed for the voluntary muscles, the locomotive muscles, and he is cured in- 
stanter. How much is the lacking quantity ? This is the supreme question. 
This question brings us to our goal. A few words before I answer this final 
question. 

Gentlemen, look at the patient prostrate on the bed; his life hangs on a thread; 
he can live only by being still, motionless and foodless. He has not enough of 
the material ot animation, namely, oxygen, in his system to enable him to set up 
in his bed, or to put the drink to his mouth. At the peril of his life he is com- 
pelled to be motionless This shows how little oxygen he receives; that little 
removed or denied him, he becomes a corpse. It is so little that he may be con- 
sidered as having, or receiving, none at all. Should the patient be utterly deprived 
of oxygen, what quantity of it does he need to restore animation, to restore the 
normal quantity. The great German professor, Baron Liebig, computes it to be 
the quantity furnished by a temperate atmosphere in four days and four hours. 

Gentlemen, you must be aware that the exact duration of yellow fever is four 
days and four hours. Having remained motionless for four days and four hours, 
the bile is eliminated and the fermentation over. In four days and four hours, 
the system is impregnated with oxygen, with the quantity needed for voluntary 
and involuntary motion. Thus, the amount of oxygen he inhales during four 
days and four hours is the lacking quantity. This is the goal we aimed at; wo 
have reached it successfully. How much oxygen does he receive during that 
,time ? Very easily known. We inhale at every inspiration forty cubic inches of 
air; we inhale twe.ity times per minute. Forty cubic inches of air weighs about 
12 grains; one hundred inches weighs 30 grains: See Miiller's Physiology and 
Physics. One-fifth of the air inspired is oxygen, and weighs about 2 grains; 
Two grains per inspiration make forty per minute, -400 per hour, 57,600 per day, 
or 7 5 lbs.; making 30 lbs. 2 oz. and 40 grains for the four days and four hours. 
This is the lacking quantity of oxygen; of the principle itself in its purity 

When the patient first feels warm, looks yellow, and is unable to move, let him 
inspire, inhale in its purity, or from the atmosphere, the lacking quantity of oxy- 
gen, and the heat, yellow color, and inability of motion will vanish, and a perfect 
cure will be effected. Let him inhale it in one day or in two days. Let him in- 
hale it in one hour or two hours, and instanter he is well. Let him receive or 
inhale the lacking quantity and the effete matter is eliminated, and the sequences 
dispersed. Let him inhale the lacking quantity, and his mind and body are re- 



12 

stored to their integrity; to their normal condition. Put him in a storm, gale or 
hurricane, and in a few minutes he will have received, inhaled the lacking quan- 
tity; in a few minutes he will be deluged with air, and the deluge of bile will 
vanish like smoke and in smoke; will vanish as fast as chaff before the wind, or 
like oil thrown into a blaze. 

Practical Illustrations or Proofs. 

Having made my medical studies in Paris, I arrived from France in this city 
in 1844. The complaint called yellow fever was the only one I was not familiar 
with. For some time I pursued the treatment then, and to the present day in 
practice in this city. I soon saw that the treatment was more fatal than the 
complaint, and that many more would have recovered had they not been sub- 
jected to it; had they been left to the kind offices of nature. I then studied the 
symptoms, or marked conditions, the ensemble of which constituted the com- 
plaint, and its extreme simplicity surprised me. 

Sick in 1847, the epidemic of 1853 was the first I saw. When called upon, 
and at the patient's house, I looked first for a room which admitted a draft, a 
current of air, by having opposite doors or windows* I then insisted upon hav- 
ing the patient's bed placed in that draft. I next insisted upon having not only 
the opposite openings, but all the openings in the building left open, day and 
night. In addition, I often insisted on the patient being fanned, night and day, 
when the temperature ranged between 80° aDd 90° F. 

Bed covering. — The bed covering I reduced to one sheet during the above at- 
mospheric temperature, and varied it according to temperature; increasing it 
when the temperature declined; the object being to maintain the normal physi- 
ological temperature of the skin, in order not to impair or impede the evapora- 
tion therefromg^hich is similar to that of the lungs, viz: carbonic acid and 
water, and for a similar purpose. 

The position of the bed, the ventilation and bed covering determined upon, 
the next indispensable requisite was to remain still, passive, absolutely so; and 
as still, tranquil in mind as in body for four days and four hours. The next 
was, fasting for the same time. Nature made this requisite imperative; for the 
patients loathe food during the specified time. The next was the drink. The 
patients preferred water and it was the best; was the best as contaiuing no nu- 
triment. The treatment or cure: on giving the patients the lacking quantity of 
oxygen, 30 lbs., 2 oz. and 40 grains, the complaint called yellow fever was over. 
To remain motionless and foodless in the open air, for four days and four hours, 
was the infallible remedy, the infallible cure. Kemaining motionless and food- 
less in the open air for four days and four hours eliminated the effete material, 
to wit., the bile, and the cure became inevitable. 

To remain motionless and foodless in the open air, in epidemic Hme, for two 
days before he got the fever, eliminates the effete material, to-wit., the bile, ren- 
dered prevention infallible, inevitable. The suggestion, the indication furnished 
by the corpse, revealed the nature of the complaint; revealed that it was a heat 
of fermentation, and not a fever heat. The suggestion of the corpse revealed 
the nature of the complaint, that it was a fermentation. 

The suggestion < f the corpse told the way to cure it. The suggestion of the 
corpse told the way to prevent it. 

Remaining half the time, to-wit., two days, foodless and motionless in the 
open air, before he gets the fever, renders prevention inevitable. So true it is 
that prevention is easier, is better than cure. Remaining half the time foodless 
and still in the open air, before he gets the fever, eliminates the effete material, 
the bile, and renders fermentative heat impossible, utterly impossible. The say- 
ings of Omnipotent Nature cannot be gainsayed. A turtle, to obtain food for its 
young, will abandon them and go three hundred miles in the ocean, and return 
to them in a straight line. A bird taken circuitously in the interior of a ship 
some hundreds of miles, will return in a straight line. 

My treatment having been the reverse, the antipodes of that practiced for all 
time before me, and to the present day, I had it enacted, reduced it to practice, 
at the peril of my life. 

The people were sunk into as deep and dark a prejudice in favor of the custo- 
mary treatment as any superstition ever inspired. On one occasion, when treat- 



13 

ing nine patients in a very inferior frame house on Julia street, corner of Earn- 
part street, I had them removed from the badly ventilated, contracted rooms 
and put, one and all, on mattrasses, on the ground floor, between the front and 
back doors, with vigorous instructions to keep not only the front and back doors, 
but all the openings in the house, open day and night. Crowds passing would 
stare and exclaim : Remove those yellow fever patients to their rooms; put four 
blankets, at least, on each of them; close up every opening in the house, and 
sweat them for four days, otherwise they will -all be dead before morning. They 
would return every day, expecting to find them dead; and finally finding that 
none died, and that all recovered, they were as much grieved as surprised. 

On other occasions, I have been informed'that crowds had determined and 
sworn to murder me, unless patients, then under my care, under my treatment, 
recovered. On all occasions an awful verdict awaited me unless successful. 

Would I have dared to place my patients in the open air, in a draft, unless 
convinced of the result? I was as sure of the result as I was that I had a head on 
me; (Otherwise, I would not have risked it. Are not these six or seven hun- 
dred cases, so many practical illustrations, positive proofs of the nature, cause, 
prevention, and cure of the complaint ? 

Having inhaled the lacking quantity of oxygen in a free exposure of ventilation 
for four days and four hours, health and recovery awaited with the certainty of 
the rising of the sun. I make these assertions in the city where I attended the 
patients, and where they can be seen, and where they are the living evidence of 
all that has been advanced. 

The Complaint a Condition of Economy. 

To cure it only needs atmospheric air, water and repose. To prevent needs 
only atmosphere, water and repose. 

After four days and four hours he feels as if the complaint fell from him; on 
the instant he feels empty, hungry: he implores food; he feels a weakness from 
want of nutriment. On that day he takes a little broth; should not get much. 
On the next day he can take one-third the usual food. The next day he can eat 
as usual. He feels his strength returned, and quits his bed and walks. That is 
all the complaint cost him. Hi? strength returns as quick as it quit him. In an 
economical point of view, it is a saving of food for six days. It is a loss of time of 
one week; of one week only. Notwithstanding, hundreds of thousands are sent 
here under the mistaken impression that the complaint consists of a famine, 
rather than a disease, needing only repose and abstinence; millions are sent, be- 
lieving it to be an extensive mortality, the result of a dearth, while the reverse is 
the case. 

The complaint is rather an aristocratic one, to which the devotees of indul- 
gence and the patrons of good cheer are chiefly liable. 

It is worthy of notice that the inmates of the Parish Prison, condemned to re- 
main all but motionless, and subjected to a temperance which they can't trans- 
gress; denied the power of indulging in obscene revels and tumultuous brawls; 
reduced in body and mind to all but a passive, inert condition, enjoy an immuni- 
ty from the complaint. They have been seldom, if ever, attacked. Invalids, 
emaciated from sicimess, and the indolent and poverty-stricken, emaciated from 
want, from scarcity, the dependants on chance for a stray morsel or scanty meal, 
are equally exempt, exult in the same immunity, and laugh at the visitations of 
the prosperous, at the pets of fortune. 

Cause of Yellow Fevek. 

Patholo y recognizes chieny three kinds of causes, to-wit., a remote or determ- 
ining cause, a proximate or intimate cause, and a predisposing cause. The prox- 
imate or intimate cause is the tissue, organs, fluid or gas of the body which are 
disordered or disturbed in their substance, in their functions, or in their relations. 

Caloric is the remote determinining cause of yellow fever. 

The effete matter of the human system, remaining in the system, not elimiua- 
ted, is the proximate and intimate cause of yellow fever. 

Caloric, the remote external cause, acts by reducing the quantity of air, oxy- 
gen, by rarefaction, and by reducing its efficiency by increasing its elasticity. 
Therefore, caloric acts by decreasing the quantity of oxygen and impairing its 



efficacy; and, in consequence, there is an absence of the normal quantity of 
available oxjgen in the lungs during respiration. 

The air deficient in quantity and efficacy in the lungs, the effete material re- 
mains in the system and ferments. The effete material remaining in the system, 
not eliminated, fermenting and generating the symptoms and conditions, before 
and afcer death, so often stated, embrace the proximate cause in full. Oxygen so 
links the remote and proximate causes that it is difficult to say to which it be- 
longs. Through derived from the air, and an outward agent, it may be considered 
an intrinsic, essential gas of the human body, for the body can only live three 
minutes without it. Its absence in the lungs, its abnormal quantity, its disturb- 
ance in proportions and relations with the effete material, and with the vital ma- 
terial, namely: the iron globules and red blood, cause, engender the complaint 
Restore oxygen in its normal quantity, temperature and efficacy, and no fever is 
possible. Restore oxygen in its normal quantity and efficacy during the fever, 
and the latter is dissipated, dispersed, cured. 

Caloric alone can impair its normal quantity and efficacy. Therefore, caloric 
is the remote, primitive, external, determining cause of yellow fever. Caloric is 
the only remote, external cause. It acts by impairing oxygen in quantity and 
efficacy. The instant result is, the effete matter remains in the system; the next 
instant result is the effete matter ferments; the next instant results are heat of 
person, yellowness of person and inability of muscular motion. The three are 
simultaneous. The next in succession, but at a slight interval of time, is a dark 
fluid rejected; the next, in quick succession, is a dark fluid of metallic hue rejec- 
ted; the next in quick succession is death. 

After death heat continues, and the yellowness assumes a most intense, terriffic, 
vengeful hue. The corpse is buried and the heat continues. 

To recapitulate. Caloric, and only caloric, is the remote, determining, specific, 
external cause of yellow fever. 

The effete matter of the system, remainiug in the system and fermenting, is 
the proximate, intimate, internal cause of yellow fever. 

The four conditions before death, and the two after death, viz: heat, yellow- 
ness, inability of motion, rejection of a dark fluid — a dark fluid of metallic hue — 
and -the intense yellowness and supernatural heat of the corpse, constitute the 
nature and essense of yellow fever. 

Curing the complaint consists in flooding the system with atmospheric air or 
oxygen, and eliminating the bile. 

Prevention of the complaint consists in flooding the system with atmospheric 
air, and remaining motionless and foodless for two days. 

Why foodless? Man is one-third carnivorous and two-thirds herbivorous. 
Vegetable nutriment becomes in the system similar to bile, and subserves the 
same purpose, viz: to engender heat. Eating while bile was being eliminated 
would be introducing it as fast as it was being eliminated. 

Why motionless? Exercise engenders bile internally It would, in like man- 
ner, be creating it internally while eliminating it externally. 

Gentlemen, convinced of all that is herein stated, I proclaimed, in the thick of 
the epidemic of 1853, that it could be checked in a few days; and I published 
the prophylactic, hygienic observance which, if enacted, would have done so. It 
would have been worth a million of dollars to the city, and would have saved her 
the loss of millions, in addition to thousands of lives. City authorities seldom 
comprehend scientific demonstrations, consequently seldom can recommend 
them. Had the money, sent them this year to defray epidemic expenses, been 
sent to a body of the most learned medical men, as you gentlemen, includiug 
Drs. Barthelot, Ranee', Mercier, Borde and D'Aquin, etc., who know the wants of 
destitute sick much better than laymen, and who would be glad to receive scientific 
facts and demonstrations. I am persuaded the scientific prophylactic and positive 
cure would be now fully established. As in 1853, I published this year the 
scientific prevention and cure for over thirty days in the City Item. It was as 
follows: 

YELLOW FEVER. 

Dr. J. J. Hayes' preventive for yellow fever, in accordance with pamphlet pub- 
lished and copyrighted in 1858, wherein it has been scientifically demonstrated 



# 



15 

that the fever, as an epidemic, could be checked in a day or two; as a complaint 
could be cured in an hour or two. 

- The preventive means consists of four medicinal doses and a hygienic observ- 
ance, viz: A privation of food, a respite from labor, exertion, and a free expos- 
ure to the open air for a few da vs. The medicinal doses being only auxiliary the 
hygienic, observance was the principal, the all essential, and in consequence a 
copy, a formula was attached to each phial, and was as follows: 

Take one dose of the preventative medicine e-very day for four days; take it in 
the morning. 

1st Day — Eat nothing; don't work or take exercise; remain in the shade, in a 
draft or in a current of air as much as possible, and sleep with open doors and 
windows, or in the open air. 

2d Day — Eat nothing, but might take some broth; the rest as on first day. 

3d Day — Take broth, some bread and meat, but the less the better; the rest as 
on first day. 

4th day — Take food as usual, but the less the better; the more temperate the 
better; the rest as on first day. 

To resume: 1st — Take one dose of the preventive every morning lor four days. 

2d— Fast as rigidly as possible for two days. 

3d — Fast as much as possible for the two succeeding days. 

4th — Keep in the shade, in a current of air or in the open as much as possible 
for the four days. 

5th — Dont work or take exercise for the four days. 

Having done as above the due relation between the system and the increase of 
atmospheric temperature becomes restored, and yellow fever, which is the off- 
spring of the disturbance, is no longer possible; in other words the system is now 
acclimated. 

It may be easily seen that the preventive consisted of abstinance, in order to 
reduce the material of nutrition in the system ; and make the requisite amount 
of atmospheric air predominate. 

When the supply of air in the system predominates over the material of nutri- 
tion and the effete material of the body, there can be no yellow fever. When the 
fever takes place; again making the supply of air preponderate cures the fever. 
Hence, atmospheric air is the agent which prevents the fever; atmospheric air is 
the ag^nt which cures the fever. 

The hygienic regimen, as stated, was the maximum necessary for adults of the 
laboring classes. Ladies and children would be protected by eating less than 
usual — half enough for a day or two — and admitting, day and night, all the air 
their doors and windows admitted of keeping them open day and night. 

Did a million of men, laborers or soldiers, enact the observance, viz: The 
privation of food; the respite from labor, and sleep out in the open air on dry 
ground or planks, and take, not medieal doses, but a teaspoonful of salt — table 
salt — (chloride of sodium) in coffee, every morning for four days, not ten, no, 
not one, could take yellow fever that season, as sure as there is a God in yonder 
sky. 

All persons living in well ventilated houses would be protected by eating less 
than usual, leaving the openings open; desisting from exertion and using salt in 
coffee three times a day. A teaspoonful for adults; half for ladies, and less for 
children. 

J. J. HAYES, M. D. 

The yellow fever pamphlet of 1858, soon to be issued, will much more fully 
explain the modus operandi of the prevention and cure. 

In the daily Picayune, another city journal, of the greatest circulation, the fol- 
lowing was inserted for days: 

TO THE PEOPLE OF NEW ORLEANS. 

Citizens: — It is an object to all of you to know the nature, cause, prevention 
and cure of yellow fever. An article now in the City Item reveals them. Then 
you are earnestly entreated to get the article and preserve it. All further proof 
you can desire of the truth thereof you will receive in a short time. Therefore, 
preserve the article and request your respective physician to inform you whether 



*. 



16 

it is true or not. Your request will induce, make it incumbent, on them to ex- 
amine and study it and truth will come forth. 

If you would dispel this scourge, which is only a phantom, appeal to your 
physicians; appeal to the presidents of the benevolent societies to submit it to 
four physicians of long and well known merit, namely: Dr. Kennedy, Dr. Laba- 
tut and the Drs. Lewis, Third District. Thus appealed to, before three weeks 
they will solve the question, and all future danger will be averted. In addition, 
I will take all care and pains to have it submitted to the Universities of Berlin, 
Paris and London. The inquest is sure to sustain the truth advanced by me, 
and no longer will your lives be in danger; no longer will wives and children be 
swept from husbands and vice versa. I again beseech you to keep the article in 
the City Item. 

With all due and full consideration, etc. 

J. J. HAYES, M. D. 

Nobody having made the appeal the duty devolves upon me. 
Gentlemen, I have the honor of being your obedient servant, 

J. J. HAYES, 
Surgeon and M. D, 
New Orleans, December 16, 1878. 



